Hello darkness, my old friend.

I appreciate the change of season by the end of summer. I am drawn to the orange, brown, maroon tones of fall fashion. I love to climb up on a chair to retrieve the crockpot that has been stored over the summer. Pumpkin, sweet potato and squash replace the tomatoes, zucchini and corn in the basket in the kitchen. Logs are collected and stacked up by the fireplace. The paddle board and outdoor furniture are tucked safely away from the elements. The outdoor shower pipe is shut off, hopefully in time for the first freeze.

This is the time of year when darkness sets in early. The temperature is cool. The predominant color is gray. The decrease in hours of natural sunlight is dramatic.

All of these external changes affect us internally. Humans and other animals are extremely sensitive to changes in the environment. This is a good thing, we want to be in tune with nature. We need to recognize the changes and adjust.

What happens to our bodies?  There is an increase in melatonin and a decrease in serotonin. The melatonin increase causes us to feel sluggish and less energetic. The decrease in serotonin can result in a depressed mood. Even people who love cooler months may experience a wistful sense of the passage of time. Mild sadness or malaise can set in as the body adjusts.

The shift may also cause a more intense change in mood, referred to as Seasonal Affective Disorder or SAD.

The primary symptoms are:

*Down mood
*Problems concentrating
*Lack of energy
*Increase in sleep
*Carbohydrate cravings

If this sounds familiar and has happened more than three years in a row, you may have SAD. For some people it is mild and you know you can “ride it out” until spring. Others need help. SAD is under-diagnosed big time. I can’t tell you how many times I have heard adults say they had this their whole life and never thought to treat it.  With the world battling a pandemic, I expect to see an increase in mood disorders. When the pandemic started in spring, the consolation was that summer was coming… it made it easier.

Light therapy can help. The recommended dosage is 10,000 Lux for 30 minutes in the morning. There are plenty of options – try Verilux. The light must block damaging UV light, known to cause skin cancer. It  cannot cure Covid-19. Tanning beds are not helpful for SAD (or for anything else for that matter).

Psychotherapy, particularly Cognitive Behavioral therapy is also proven to be helpful.

Many clinicians recommend antidepressants in addition to light therapy, particularly if light therapy alone is not helpful. Medications can be started in November and stopped in April. Consult your personal physician to decide whether medication may be right for you.

Many if us are Vitamin D deficient due to lack of light and use of sunscreen. Our bodies need sun exposure to manufacture Vitamin D. Besides broken bones, low D is linked to depression. According to the Bradykinin hypothesis for Covid-19, the virus attacks the body by causing a bradykinin storm. Vitamin D is potentially useful to reduce the severity of the illness. The current recommendation for adults of 600-800 units/day is considered low by most physicians. Get your level checked. Even those who exercise outside in winter, ask yourself how much sunshine is actually absorbed when so little skin is exposed?

When cool weather rolls in, we crave comfort food. You’re going to want to nosh. Rule of thumb – avoid white food. Except hard boiled eggs, always have those on hand to grab.

Get outside. It decreases your Covid-19 risk, it helps lift your spirits. Meteorologists are always passing judgement on the weather. The meteorologists here actually tell people which days are “outside days”. Let’s just make every day an “outside day”, even for a little while.

Embrace the change. Accept that this is a time for introspection and for quieting the body. Since the start of the pandemic, I have changed my sleeping habits. Being in bed by 9:00 when it feels like midnight works for me. It’s midnight somewhere. No FOMO.

I am grateful to experience the change of season. Change is one of the only constants right now. 

Air hug, normal hug, any kind of hug will do. Especially now.

How are you preparing?